Insights Manager driving end - to - end research execution and actionable insights for major brands. Collaborating with teams and leveraging technology in a hybrid work environment.
About the role
- Senior Manager overseeing audit and business oversight projects at CVS Health. Leading teams and managing regulatory audit processes to ensure compliance and improvement.
Responsibilities
- Plans, monitors and manages internal projects from initiation through completion
- Secures required resources and uses formal processes and tools to manage resources, budgets, risks and changes
- Manages projects to ensure on-time completion according to specifications and within budgeted costs
- Acts as a top-level specialist on project management and develops a comprehensive plan that encompasses objectives, deliverables, and timelines for CMS and State regulatory audits and readiness reviews
- Ensures alignment on key deliverables and timelines and reinforces organizational standards
- Applies highly developed knowledge of external audit standards and expectations to guide operational partners through all aspects of an audit
- Creates a continuous improvement environment, looking for ways to enhance delivery processes and outcomes
- Effectively manages multiple audits and projects and responds to change with adaptability
Requirements
- Pharmacist
- 7-10 years work experience in healthcare
- Medicare and/or Medicare-Medicaid Integrated Product Experience
- Experience with Part D Coverage Determination, Appeals and Grievances and/or Formulary Administration regulatory requirements and audit management
- Experience with Part C & D reporting requirements
- 3+ years serving as project lead
- Adept at problem solving and decision making
- Experience dealing with state or federal regulators
- Excellent written and verbal communication skills and an ability to work with all levels of the organization
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings
- Tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- Benefit solutions that address different needs and preferences of colleagues including paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
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